Thursday, August 31, 2017
For people with MS, can exercise change the brain?
Follow me on Twitter @RobShmerling
Multiple sclerosis (MS) is a condition of unknown cause in which the covering lining of nerve fibers (called myelin) is damaged. Myelin is like insulation on a wire — when it is damaged, nerve impulses are not transmitted properly. This leads to an array of symptoms including weakness, vision problems, numbness, tingling, and poor coordination or imbalance that can be debilitating.
MS is thought to develop when the immune system mistakenly attacks the central nervous system, including the brain and spinal cord. The severity of the disease varies. The most common pattern is one in which symptoms wax and wane. People who experience this are described as having “relapsing-remitting” disease.
Although there are more and better treatments for MS than ever before, there is no known cure. And the disease can progress even with the best treatments.
A new study suggests that exercise may alter the brain
A new study looks at exercise as a potential treatment for people with relapsing-remitting MS. What’s different, and exciting, about this study is that it not only analyzed the impact of exercise on symptoms of the disease, it also assessed how the brain changed with exercise treatment.
As published in the Multiple Sclerosis Journal, researchers enrolled 35 patients with relapsing-remitting MS. Half began a 24-week program of twice-weekly supervised exercise, while the other half continued to see their doctors for routine care. At the end of 24 weeks, the assignments reversed (although the group assigned to start with exercise could continue unsupervised exercise). The exercise program included progressive resistance training such as free weights, elastic bands, or exercise machines with increasing resistance over time. After the exercise program, researchers evaluated each study volunteer with measures of function, disability, and brain MRI.
Here’s what they found after the period of exercise.
- Measures of overall function improved while measures of disability did not change.
- Overall MRI findings (including brain volume and damage from MS) did not change. Since MRI findings of MS damage tend to worsen over time, this could suggest that exercise might keep MS from worsening, or slow its progression.
- Certain parts of the brain appeared to “thicken” by MRI (suggesting preservation of brain tissue or even regeneration). However, this was observed for only 19 of 74 brain areas examined.
What does this mean?
These findings are intriguing and potentially quite important. And this is not the only study looking at the capacity of exercise to change the brain. Previous studies of the healthy elderly who exercise, those with Parkinson’s disease who exercise, and practitioners of tai chi have found evidence of brain changes by MRI.
Even so, the real importance of this study is uncertain because:
- Even though the study subjects with MS improved with exercise, the overall appearance of the brain, including evidence of damage, did not improve.
- The relevance of the MRI changes is not entirely clear. We don’t know whether areas of “cortical thickening” function normally or account for improved symptoms.
- The study was quite small and short-term. Relapsing-remitting MS cycles through periods of improvement and worsening. So longer-term studies are needed before we know whether improvements associated with exercise are actually due to exercise, reflect the pattern of the disease, or have some other cause.
In conclusion…
Clearly, improvement in MS symptoms that seems related to exercise is reason to continue recommending physical activity for this condition. Supervised exercise may be helpful, with little chance of causing serious side effects. I think that in the future we will see more and more research into non-medication treatments of MS and other chronic diseases.
Many people, myself included, believe that the usefulness of non-medication approaches for chronic disease may be underrecognized. While it seems unlikely that exercise alone can reverse brain damage from MS or cure the disease, it might play an important role when combined with other standard treatments, including medications.
The post For people with MS, can exercise change the brain? appeared first on Harvard Health Blog.
From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/for-people-with-ms-can-exercise-change-the-brain-2017083112304
Living the Impossible Dream
Dr. Jim Lonborg coyly stepped into the media room at Fenway Park Aug. 16, his 6-foot-5- inch stature betraying the subtlety in which he moved.
From: By Kelly Soderlund http://www.ada.org/en/publications/ada-news/2017-archive/september/living-the-impossible-dream
From: By Kelly Soderlund http://www.ada.org/en/publications/ada-news/2017-archive/september/living-the-impossible-dream
The Forsyth Institute gets new CEO
An oral biologist takes the helm of The Forsyth Institute, a renowned dental and craniofacial research center, on Sept. 1.
From: http://www.ada.org/en/publications/ada-news/2017-archive/september/the-forsyth-institute-gets-new-ceo
From: http://www.ada.org/en/publications/ada-news/2017-archive/september/the-forsyth-institute-gets-new-ceo
Dr. Matthew Goetz discusses Z-endoxifen
From: Mayo Clinic https://www.youtube.com/watch?v=pOzB3okdy1M
Small ways to live better with heart failure
From: Mayo Clinic https://www.youtube.com/watch?v=kKd41YHhzbo
8 ways to accidentally burn more calories all day long
From: Mayo Clinic https://www.youtube.com/watch?v=Haat0g3USTs
1-minute meditations for living with cancer
From: Mayo Clinic https://www.youtube.com/watch?v=goJGXLx4AhA
Trump HHS cuts funds for Obamacare ads by 90 percent
The administration is also cutting funding for consumer helpers called "navigators"
From: https://www.cbsnews.com/news/trump-cuts-funds-for-obamacare-ads-by-90-percent/
From: https://www.cbsnews.com/news/trump-cuts-funds-for-obamacare-ads-by-90-percent/
Laughing gas reappears in U.S. ambulances
Normally used in dentist's offices and hospitals, nitrous oxide is starting to turn up elsewhere in place of more traditional painkillers
From: https://www.cbsnews.com/news/no-laughing-matter-nitrous-oxide-reappears-in-u-s-ambulances/
From: https://www.cbsnews.com/news/no-laughing-matter-nitrous-oxide-reappears-in-u-s-ambulances/
Fentanyl drives another grim record of overdose deaths
An average of 11 people died each day of drug overdoses in one state alone, officials say
From: https://www.cbsnews.com/news/fentanyl-drives-another-record-year-of-overdose-deaths-in-ohio/
From: https://www.cbsnews.com/news/fentanyl-drives-another-record-year-of-overdose-deaths-in-ohio/
As Harvey Exits, Water, Pain, And Need Remain
Thousands left in hurricane's wake in need of medicine, treatment and assistance.
From: http://www.webmd.com/a-to-z-guides/news/20170831/as-harvey-exits-water-pain-and-need-remain?src=RSS_PUBLIC
U.S. Obesity Rate Holding Steady, but Still High
In 25 states adult rates exceeded 30 percent this year, report notes
From: http://www.webmd.com/diet/obesity/news/20170831/us-obesity-rate-holding-steady-but-still-high?src=RSS_PUBLIC
New Clues to Why Yawns Are Contagious
Primitive brain reflexes may be at play
From: http://www.webmd.com/sleep-disorders/news/20170831/new-clues-to-why-yawns-are-contagious?src=RSS_PUBLIC
Stay in School for a Healthier Heart
College degree may reduce your risk of cardiac disease by one-third, study suggests
From: http://www.webmd.com/heart/news/20170831/stay-in-school-for-a-healthier-heart?src=RSS_PUBLIC
Living the Impossible Dream
Dr. Jim Lonborg coyly stepped into the media room at Fenway Park Aug. 16, his 6-foot-5- inch stature betraying the subtlety in which he moved.
From: By Kelly Soderlund http://www.ada.org/en/publications/ada-news/2017-archive/september/living-the-impossible-dream
From: By Kelly Soderlund http://www.ada.org/en/publications/ada-news/2017-archive/september/living-the-impossible-dream
The Forsyth Institute gets new CEO
An oral biologist takes the helm of The Forsyth Institute, a renowned dental and craniofacial research center, on Sept. 1.
From: http://www.ada.org/en/publications/ada-news/2017-archive/september/the-forsyth-institute-gets-new-ceo
From: http://www.ada.org/en/publications/ada-news/2017-archive/september/the-forsyth-institute-gets-new-ceo
FDA designates MDMA as "breakthrough therapy" for PTSD
The psychoactive drug, commonly known as ecstasy or Molly, is being studied for its potential medical benefits
From: https://www.cbsnews.com/news/fda-designates-mdma-as-breakthrough-therapy-for-ptsd/
From: https://www.cbsnews.com/news/fda-designates-mdma-as-breakthrough-therapy-for-ptsd/
60% of Single Guys Say They Handle Contraception
Most rely on condoms, but use of another method has doubled, study finds
From: http://www.webmd.com/sex/birth-control/news/20170831/60-of-single-guys-say-they-handle-contraception?src=RSS_PUBLIC
More Evidence Links the 'Mono' Virus to MS Risk
Latest study shows blacks and Hispanics also vulnerable
From: http://www.webmd.com/multiple-sclerosis/news/20170831/more-evidence-links-the-mono-virus-to-ms-risk?src=RSS_PUBLIC
Helping kids recover from a disaster like Harvey
Children may experience symptoms of post-traumatic stress after a disaster. How can parents help kids bounce back?
From: https://www.cbsnews.com/news/houston-flooding-harvey-how-to-help-kids-recover-from-disaster/
From: https://www.cbsnews.com/news/houston-flooding-harvey-how-to-help-kids-recover-from-disaster/
Eating Feeds 'Feel Good' Hormones in the Brain
Overstimulation of this system could play a role in obesity, researchers say
From: http://www.webmd.com/brain/news/20170831/eating-feeds-feel-good-hormones-in-the-brain?src=RSS_PUBLIC
For people with MS, can exercise change the brain?
Follow me on Twitter @RobShmerling
Multiple sclerosis (MS) is a condition of unknown cause in which the covering lining of nerve fibers (called myelin) is damaged. Myelin is like insulation on a wire — when it is damaged, nerve impulses are not transmitted properly. This leads to an array of symptoms including weakness, vision problems, numbness, tingling, and poor coordination or imbalance that can be debilitating.
MS is thought to develop when the immune system mistakenly attacks the central nervous system, including the brain and spinal cord. The severity of the disease varies. The most common pattern is one in which symptoms wax and wane. People who experience this are described as having “relapsing-remitting” disease.
Although there are more and better treatments for MS than ever before, there is no known cure. And the disease can progress even with the best treatments.
A new study suggests that exercise may alter the brain
A new study looks at exercise as a potential treatment for people with relapsing-remitting MS. What’s different, and exciting, about this study is that it not only analyzed the impact of exercise on symptoms of the disease, it also assessed how the brain changed with exercise treatment.
As published in the Multiple Sclerosis Journal, researchers enrolled 35 patients with relapsing-remitting MS. Half began a 24-week program of twice-weekly supervised exercise, while the other half continued to see their doctors for routine care. At the end of 24 weeks, the assignments reversed (although the group assigned to start with exercise could continue unsupervised exercise). The exercise program included progressive resistance training such as free weights, elastic bands, or exercise machines with increasing resistance over time. After the exercise program, researchers evaluated each study volunteer with measures of function, disability, and brain MRI.
Here’s what they found after the period of exercise.
- Measures of overall function improved while measures of disability did not change.
- Overall MRI findings (including brain volume and damage from MS) did not change. Since MRI findings of MS damage tend to worsen over time, this could suggest that exercise might keep MS from worsening, or slow its progression.
- Certain parts of the brain appeared to “thicken” by MRI (suggesting preservation of brain tissue or even regeneration). However, this was observed for only 19 of 74 brain areas examined.
What does this mean?
These findings are intriguing and potentially quite important. And this is not the only study looking at the capacity of exercise to change the brain. Previous studies of the healthy elderly who exercise, those with Parkinson’s disease who exercise, and practitioners of tai chi have found evidence of brain changes by MRI.
Even so, the real importance of this study is uncertain because:
- Even though the study subjects with MS improved with exercise, the overall appearance of the brain, including evidence of damage, did not improve.
- The relevance of the MRI changes is not entirely clear. We don’t know whether areas of “cortical thickening” function normally or account for improved symptoms.
- The study was quite small and short-term. Relapsing-remitting MS cycles through periods of improvement and worsening. So longer-term studies are needed before we know whether improvements associated with exercise are actually due to exercise, reflect the pattern of the disease, or have some other cause.
In conclusion…
Clearly, improvement in MS symptoms that seems related to exercise is reason to continue recommending physical activity for this condition. Supervised exercise may be helpful, with little chance of causing serious side effects. I think that in the future we will see more and more research into non-medication treatments of MS and other chronic diseases.
Many people, myself included, believe that the usefulness of non-medication approaches for chronic disease may be underrecognized. While it seems unlikely that exercise alone can reverse brain damage from MS or cure the disease, it might play an important role when combined with other standard treatments, including medications.
The post For people with MS, can exercise change the brain? appeared first on Harvard Health Blog.
From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/for-people-with-ms-can-exercise-change-the-brain-2017083112304
Wednesday, August 30, 2017
Is ADHD Real? What the Medical Community Says
An ADHD diagnosis is not so clearcut. WebMD looks at the controversy surrounding this condition.
From: http://www.webmd.com/add-adhd/childhood-adhd/features/adhd-critics?src=RSS_PUBLIC
Yes, Girls Can Have ADHD
Many girls struggling with ADHD (attention deficit hyperactivity disorder) go unnoticed by parents, teachers, and other adults. WebMD explains.
From: http://www.webmd.com/add-adhd/childhood-adhd/features/do-girls-get-adhd?src=RSS_PUBLIC
Dr. Matthew Goetz discusses Z-endoxifen
From: Mayo Clinic https://www.youtube.com/watch?v=pOzB3okdy1M
Small ways to live better with heart failure
From: Mayo Clinic https://www.youtube.com/watch?v=kKd41YHhzbo
8 ways to accidentally burn more calories all day long
From: Mayo Clinic https://www.youtube.com/watch?v=Haat0g3USTs
1-minute meditations for living with cancer
From: Mayo Clinic https://www.youtube.com/watch?v=goJGXLx4AhA
Secrets for living well with heart disease
From: Mayo Clinic https://www.youtube.com/watch?v=bcup-vcl0aA
Guard against infection when you have cancer
From: Mayo Clinic https://www.youtube.com/watch?v=Gr9YnnIOGqo
9 ways you add extra calories to your day
From: Mayo Clinic https://www.youtube.com/watch?v=UFE0TZp2lYI
How to fuel your body for everyday performance
From: Mayo Clinic https://www.youtube.com/watch?v=LhQTPfatt0k
Hydration tips every athlete needs to know
From: Mayo Clinic https://www.youtube.com/watch?v=hENp-vDW_H4
6 ways to stay active without injury as you age
From: Mayo Clinic https://www.youtube.com/watch?v=rwFJARwmzAM
7 kitchen habits that will cut your calories
From: Mayo Clinic https://www.youtube.com/watch?v=AAsnTUY5aFY
Salmonella outbreak tied to pet turtles
The CDC warns that the reptiles can carry bacteria even if they look healthy and clean
From: https://www.cbsnews.com/news/salmonella-outbreak-tied-to-pet-turtles/
From: https://www.cbsnews.com/news/salmonella-outbreak-tied-to-pet-turtles/
Mayo Clinic Section of Reproductive Genetics
From: Mayo Clinic https://www.youtube.com/watch?v=1HzsaHOucQk
5 easy-to-remember rules to jumpstart weight loss
From: Mayo Clinic https://www.youtube.com/watch?v=60SBjfp2WRE
Secrets of people who bring their lunches
From: Mayo Clinic https://www.youtube.com/watch?v=CmZYMoYMuQc
9 tips for staying active during cancer treatment
From: Mayo Clinic https://www.youtube.com/watch?v=N70vj_biFtA
How to recover from a tough training workout
From: Mayo Clinic https://www.youtube.com/watch?v=XX-WT_L5SQw
8 myths about heart disease you need to know
From: Mayo Clinic https://www.youtube.com/watch?v=r2G-0D0SFu4
10 ways to accept help when you have cancer
From: Mayo Clinic https://www.youtube.com/watch?v=NruVXnCNMMU
How plant-based foods help fight cancer
From: Mayo Clinic https://www.youtube.com/watch?v=N6Aj5kzfCHk
Have you wondered about botox for migraines?
From: Mayo Clinic https://www.youtube.com/watch?v=HVPkG5s2Czk
What to know about the ketogenic diet for epilepsy
From: Mayo Clinic https://www.youtube.com/watch?v=gRypuSYV0Fw
How to prep for healthy eating all week
From: Mayo Clinic https://www.youtube.com/watch?v=X0_opEr7BAY
Your guide to fuel prep for an endurance race
From: Mayo Clinic https://www.youtube.com/watch?v=zSGvk85p_BU
Steps you can take after a brain tumor diagnosis
From: Mayo Clinic https://www.youtube.com/watch?v=qDaY7SVpZj4
Painkillers Could Raise Arthritis Patients' BP
Widely used NSAID drugs may not be as safe as previously thought, researchers warn
From: http://www.webmd.com/arthritis/news/20170830/painkillers-could-raise-arthritis-patients-bp?src=RSS_PUBLIC
The BDA and its work with the media
From: BritishDietetic https://www.youtube.com/watch?v=FFeCzUIEeIk
Become a research maven at ADA evidence-based dentistry workshop
Could systematic reviews do more to help inform clinical decisions? The ADA Center for Evidence-Based Dentistry hopes so, and wants to empower researchers and clinicians to make that happen.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/become-a-research-maven-at-ada-evidence-based-dentistry-workshop
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/become-a-research-maven-at-ada-evidence-based-dentistry-workshop
Help ADA Foundation provide emergency disaster relief
The disaster that is unfolding in Texas and Louisiana as a result of Hurricane Harvey has likely affected hundreds of dentists, and the ADA Foundation is asking ADA members to consider making a contribution to the ADA Foundation Emergency Disaster Grant Program.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/help-ada-foundation-provide-emergency-disaster-relief
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/help-ada-foundation-provide-emergency-disaster-relief
Looking for a plastic surgeon on Instagram? #Beware
You may end up with a hair stylist or a dentist instead, a new study finds
From: https://www.cbsnews.com/news/looking-for-a-plastic-surgeon-on-instagram-beware/
From: https://www.cbsnews.com/news/looking-for-a-plastic-surgeon-on-instagram-beware/
FDA approves first gene therapy to treat leukemia
CAR-T cell treatment is called "a brand new way of treating cancer"
From: https://www.cbsnews.com/news/fda-approves-first-gene-therapy-in-u-s-to-treat-leukemia/
From: https://www.cbsnews.com/news/fda-approves-first-gene-therapy-in-u-s-to-treat-leukemia/
America's new dads are older than ever
The average age of new fathers has risen in recent decades, raising questions about the possible social and public health impact
From: https://www.cbsnews.com/news/americas-new-dads-are-older-than-ever/
From: https://www.cbsnews.com/news/americas-new-dads-are-older-than-ever/
Beware The Plastic Surgeon You Found on Instagram
You may end up with a barber or a dentist instead
From: http://www.webmd.com/beauty/news/20170830/beware-the-plastic-surgeon-you-found-on-instagram?src=RSS_PUBLIC
America's New Dads Are Older Than Ever
Average age of new fathers has risen to 31, study finds
From: http://www.webmd.com/men/news/20170830/americas-new-dads-are-older-than-ever?src=RSS_PUBLIC
Student researchers invited to apply for ADA Foundation award
The ADA Foundation is accepting applications for a new award that aims to help a student's research career that advances the oral health of the public.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/student-researchers-invited-to-apply-for-ada-foundation-award
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/student-researchers-invited-to-apply-for-ada-foundation-award
Upcoming webinar to help dentists navigate regulatory environment
The regulatory environment is full of ever-changing regulations that can make it difficult for dentists to ensure they're up-to-date on, and in compliance with, the many regulations that need to be followed in the practice.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/upcoming-webinar-to-help-dentists-navigate-regulatory-environment
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/upcoming-webinar-to-help-dentists-navigate-regulatory-environment
FDA Approves First-of-Its-Kind Cancer Treatment
The FDA has approved a first-of-its-kind treatment, called CAR T-cell therapy, to treat a type of leukemia in children and young adults.
From: http://www.webmd.com/cancer/news/20170830/fda-approves-breakthrough-cancer-treatment?src=RSS_PUBLIC
The BDA and its work with the media
From: BritishDietetic https://www.youtube.com/watch?v=FFeCzUIEeIk
Patient-Centered Medical Home: A new model for medical care
The world of primary care is challenging right now. It can be frustrating for both patients and doctors.
From the patient’s perspective
Let’s say you’re basically healthy, but overweight. You can’t quite get your diet under control. You’d like your doctor’s help and maybe some testing, like thyroid. So you call your primary care doctor. You work through the practice’s phone tree and leave a message for the nurse. The nurse may get back to you within a day or a few days, and after you talk, she or he will pass the message on to your doctor, who says you should come in. Then it takes a week or so to get an appointment.
At that visit your doctor talks to you about your diet, and it becomes clear that you tend to eat too many carbs when you feel stressed. Just as you’re about to share why you feel stressed, the appointment is over. But your doctor orders a few labs, refers you to a nutritionist, and hands you a list of therapists and suggests you “call around to see who may be a good fit, to discuss stress management.” What often happens next is that it takes several days to hear back from a nutritionist (which means you need another appointment likely at a less-than-convenient location). At this point it’s all so frustrating that you may or may not ever make those calls to potential therapists.
From the doctor’s (my) perspective
Most doctors truly enjoy seeing and talking with patients, and we want to help. That’s why we undertook this long, expensive, and psychologically challenging career path. But, doctors must see a certain number of patients to earn their salary, and there has been pressure to see more. Then, every hour of clinic time equals over an hour of desk work: responding to the patient phone and email messages, checking labs, communicating with specialists, reviewing and signing physical therapy and visiting nurse orders, filling out disability forms, writing necessary chart notes, and documenting for billing. And maybe calling a few patients.
Rarely, when the schedule is light, a doctor can have more in-depth conversations with patients. If there had been enough time, you may have shared that you’re in a toxic, depressing work environment, and that you overeat to cope with stress and emotional issues. When we know that, doctors can screen for clinical depression and offer treatment, as well as provide more meaningful counseling on coping skills, nutrition, and self-care.
But that’s not how it usually works. And doctors dislike it as much as patients do. Doctors hate feeling pressured to see more patients, rushing through visits, referring out to specialists who may or may not communicate back, and then slogging through all that administrative work. The result is frustrated doctors and patients, and more expensive care. We wish there was more time, as well as a nutritionist and a full-time therapist on-site with whom we could smoothly and efficiently confer and collaborate.
But the primary care world is changing… for the better
That entire model is being flipped on its head, which is a good thing.
This is where the concept of the Patient-Centered Medical Home (PCMH) comes in. The “home” does not refer to a place, but rather, to a model of care. Here’s how it works.
Your primary care physician will be one member of a team who will offer comprehensive care all under one “roof.” Moving forward, people will pay for their health insurance, and their primary care doctor will receive one flat payment from insurance to cover most of the care provided. The amount will be based on the patient’s health issues and complexity. There will be far less “fee-for-service,” that is, billing for each visit. Services such as behavioral health and nutrition will be located in the office. Physicians and patients will determine specific health goals, which can then result in bonus incentives. Practices will be rewarded for things like helping a patient lose weight and get blood sugar under control — that is, for keeping them healthy and out of the emergency room and hospital.
But how do you keep people healthier more efficiently? We will use more modern and creative tools to keep track of a patient’s status and progress from home, with tools such as health equipment that links in to the chart, and computers for virtual visits. We will hire more nursing staff to call patients and assist with monitoring from afar. We doctors will also need to be more accessible, with more phone calls or e-visits. Hiring extra staff and buying new equipment is expensive, but that is the investment we need to make in order to function in this new world.
Not just any practice can up and decide that they’re a medical “home.” There is a rigorous certification process through an outside agency, and then there is oversight to ensure that goals are being met. The model is also designed with the patient front and center. There is a big patient satisfaction component.
Will it work? Most studies of PCMH-certified practices have shown improvements in diabetes control, adherence to medications, as well as a decrease in post-hospital discharge emergency room visits and deaths, and at lower costs — particularly among chronically ill patients. Most also showed that both patients and providers liked the new model. (A few studies have shown mixed results.)
There is no question that primary care really needs to change, and the PCMH model is incredibly promising. It deserves to be implemented, but also needs to be studied more.
Resources
Patient-Centered Medical Home Recognition and Diabetes Control Among Health Centers: Exploring the Role of Enabling Services. Population Health Management, May 2017.
Team-based versus traditional primary care models and short-term outcomes after hospital discharge. Canadian Medical Association Journal, April 2017.
Association Between Patient-Centered Medical Homes and Adherence to Chronic Disease Medications: A Cohort Study. Annals of Internal Medicine, January 17, 2017.
Medical homes and cost and utilization among high-risk patients. American Journal of Managed Care, March 2014.
Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Internal Medicine, August 2014.
Medical homes: cost effects of utilization by chronically ill patients. American Journal of Managed Care, February, 2015.
Improving patient care. The patient centered medical home. A Systematic Review. Annals of Internal Medicine, February 2013.
Patient-centered Medical Home capability and clinical performance in HRSA-supported health centers. Medical Care, May 2015.
Patient Centered Medical Home at Massachusetts General Hospital
The post Patient-Centered Medical Home: A new model for medical care appeared first on Harvard Health Blog.
From: Monique Tello, MD, MPH https://www.health.harvard.edu/blog/patient-centered-medical-home-a-new-model-for-medical-care-2017083012260
9 ways to make the Mediterranean diet work for you
From: Mayo Clinic https://www.youtube.com/watch?v=bXFAWPSFuio
ADA to Delta Dental: Stop objectionable practices in EOBs
Various Delta Dental plans have engaged in "highly objectionable practices" in their explanation of benefits statements that threaten the doctor-patient relationship, wrote ADA President Gary L. Roberts and ADA Executive Director Dr. Kathleen T. O'Loughlin in an Aug. 9 letter to the president/CEO of the Delta Dental Plans Association.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/ada-to-delta-dental-stop-objectionable-practices-in-eobs
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/ada-to-delta-dental-stop-objectionable-practices-in-eobs
3 things parents should know about complementary and alternative medicine
Follow me on Twitter @drClaire
More and more, I have families in my practice who are trying out treatments and therapies I didn’t prescribe. Most of the time, it’s absolutely fine. Other times, it’s not.
“Complementary and alternative medicine” is a broad term that refers to treatments that are not generally part of traditional Western medicine. It includes things like herbal remedies, dietary supplements or alternative diets, acupuncture, acupressure, homeopathy, Chinese remedies, Reiki, or hypnosis. It also includes things like yoga or meditation — and chiropractic medicine.
Many of these therapies have become increasingly mainstream. In fact, more than 1 in 10 US children, and more than half of US children with chronic medical conditions, have used them. As use of these therapies grow, often fueled by what people read on the Internet and social media, it’s important that people get informed and educated, especially if they are going to use them on their children. That’s why the American Academy of Pediatrics (AAP) published a report entitled “Pediatric Integrative Medicine” in the journal Pediatrics.
Here are three things all parents should know about complementary and alternative medicine:
1. Many of them are very useful. It’s not as if Western medicine has the corner on all medical knowledge. Some of these therapies, like acupuncture, have been around for literally thousands of years. The more we study these therapies, the more we learn about the ways they can be helpful. Acupuncture can be very helpful for chronic pain. Probiotics can help fight diarrhea, and docosahexaenoic acid (DHA) found in fish oil helps fetal brain development and may help children with attention problems. Yoga has been found to help youth with attention problems also, as well as those with asthma or irritable bowel syndrome. Our understanding of health and medicine is expanding, and many physicians routinely recommend many therapies that used to be dismissed. But there is a problem…
2. Most of them are poorly regulated. For a drug to be licensed for sale, it has to go through extensive testing. The same is not true of herbal, vitamin, or other “alternative” treatments. Because they are classified as “food” rather than medicine, they aren’t tested or regulated anywhere near as carefully, and they don’t have to prove their claims. If you buy an herbal remedy or a dietary supplement, you have absolutely no way of knowing everything that is in it (some have been found to include dangerous ingredients like lead or arsenic) and no way of knowing if it will do what the manufacturer says it will.
This is also true of practitioners. To be licensed as a doctor or nurse, you have to go to an accredited program, pass national examinations, and prove ongoing competency. That isn’t necessarily the case with many who practice alternative medicine. While there are some licensing boards and ways that practitioners can be accredited, there is currently no comprehensive way to ensure quality of care.
Western medicines also has a tradition of ongoing self-examination, of doing studies to be sure that treatments work and are safe, and an infrastructure to support that tradition. While there have been, and continue to be, many studies of complementary and alternative medicine, there is nowhere near the same tradition and infrastructure. This is something the AAP says needs to change. This is not to say that there aren’t excellent practitioners and excellent treatments. It’s just that it’s much harder to know if the person treating you or your child has the right training and skills and if the treatment is safe, let alone helpful for the condition. Which is why…
3. Parents need to do their homework—and talk to their child’s doctor—before using complementary or alternative medicine with their children. Before you try any treatment, learn about it. The National Center for Complementary and Integrative Health, part of the National Institutes of Health, is a great resource to learn about complementary and alternative medicine and specific treatments. It’s also really important to talk to your doctor. It’s important to be sure that what you are doing won’t interfere with any other treatment. For example, St. John’s Wort, an herb that is commonly used to treat depression, can interact or interfere with many commonly prescribed medications. It’s important to check with your doctor to be sure that what you are doing is safe for your child’s particular condition or situation.
Most of all, it’s important that your doctor know about your concerns for your child and why you want to use the treatments in the first place. If you are worried about your child’s growth or appetite, for example, let your doctor be sure there isn’t something more serious going on before you use dietary supplements. While doctors may not know everything about non-traditional treatments (the AAP report says doctors need more education about them), we care very much about your child’s health and want very much to work with you to find all the ways to get and keep your child healthy and happy.
The post 3 things parents should know about complementary and alternative medicine appeared first on Harvard Health Blog.
From: Claire McCarthy, MD https://www.health.harvard.edu/blog/3-things-parents-should-know-about-complementary-and-alternative-medicine-2017082912337
Outbreak of Salmonella Again Traced to Pet Turtles
FDA: Serious Problems at Florida Stem Cell Clinic
From: http://www.webmd.com/food-recipes/food-poisoning/news/20170830/outbreak-of-salmonella-again-traced-to-pet-turtles?src=RSS_PUBLIC
After repeal scare, Obamacare has never been more popular
As states move to shore up coverage, public support for the health insurance program has surged in recent weeks
From: https://www.cbsnews.com/news/obamacare-repeal-has-never-been-more-popular/
From: https://www.cbsnews.com/news/obamacare-repeal-has-never-been-more-popular/
Tuesday, August 29, 2017
Large study suggests high-carb diet is a killer
New research may turn conventional thinking on its head, but some experts warn its not time to change nutritional guidelines just yet
From: https://www.cbsnews.com/news/large-study-suggests-carbs-not-fats-bad-for-you/
From: https://www.cbsnews.com/news/large-study-suggests-carbs-not-fats-bad-for-you/
Viagra May Harm Patients With Heart Valve Issue
Earlier data suggested the drug might ease high blood pressure in lungs, but new study refutes that
From: http://www.webmd.com/heart-disease/news/20170829/viagra-may-harm-patients-with-a-heart-valve-issue?src=RSS_PUBLIC
It's Carbs, Not Fats, That Are Bad for You
But don't give up on fruits, vegetables and legumes -- they're still good for you
From: http://www.webmd.com/diet/obesity/news/20170829/its-carbs-not-fats-that-are-bad-for-you?src=RSS_PUBLIC
FTC offers resources for victims, those willing to help in wake of Hurricane Harvey
The Federal Trade Commission has advice for victims of severe storms and flooding in Texas and Louisiana as result of Hurricane Harvey as well as for those looking to help the victims.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/ftc-offers-resources-for-victims-those-willing-to-help-in-wake-of-hurricane-harvey
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/ftc-offers-resources-for-victims-those-willing-to-help-in-wake-of-hurricane-harvey
Register now for 3 things not to miss at ADA 2017
Among numerous worthwhile activities to partake in at the ADA annual meeting, there are three notable opportunities that attendees can take advantage of once the calendar turns to Oct. 19.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/register-now-for-three-things-not-to-miss-at-ada-2017
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/register-now-for-three-things-not-to-miss-at-ada-2017
More Than Half of Americans To Need Nursing Homes
More short-term stays the biggest factor fueling the increase
From: http://www.webmd.com/healthy-aging/news/20170828/more-than-half-of-americans-to-need-nursing-homes?src=RSS_PUBLIC
FDA cracks down on “unscrupulous” stem-cell clinics
The clinics have been marketing unapproved and potentially harmful therapies for cancer and other diseases, the agency says
From: https://www.cbsnews.com/news/fda-crackdown-unapproved-stem-cell-therapies/
From: https://www.cbsnews.com/news/fda-crackdown-unapproved-stem-cell-therapies/
Moles not the only way to spot deadly melanoma
More than two-thirds of deadly skin cancers occur as new lesions, an analysis finds
From: https://www.cbsnews.com/news/moles-not-the-only-way-to-spot-deadly-melanoma/
From: https://www.cbsnews.com/news/moles-not-the-only-way-to-spot-deadly-melanoma/
Many U.S. Women Unaware of Fibroid Treatments
Hysterectomy isn't the only choice, radiology experts say
From: http://www.webmd.com/women/news/20170829/many-us-women-unaware-of-fibroid-treatments?src=RSS_PUBLIC
Mayo Clinic Minute: 3 tips for healthy eyes
From: Mayo Clinic https://www.youtube.com/watch?v=WwDZ5mf6R_s
Advance registration deadline Sept. 22
The deadline for advance registration for all courses at ADA 2017 – America's Dental Meeting is Sept. 22 at 5 p.m. CDT.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/advance-registration-deadline-sept-22
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/advance-registration-deadline-sept-22
Dentist at forefront in reversing antifluoridation vote in Tennessee
Fluoridation fared well in this town of about 5,300 in August, where leaders voted to reverse a decision it had made in February to end water fluoridation.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/dentist-at-forefront-in-reversing-antifluoridation-vote-in-tennessee
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/dentist-at-forefront-in-reversing-antifluoridation-vote-in-tennessee
Learn more about CDT Code at annual meeting
The newest CDT Code version is effective Jan. 1, 2018, but that doesn't preclude dental team members from getting a head start on learning all about the code set's evolution at ADA 2017 – America's Dental Meeting in October — and how they can become involved.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/learn-more-about-cdt-code-at-annual-meeting
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/learn-more-about-cdt-code-at-annual-meeting
3 things parents should know about complementary and alternative medicine
Follow me on Twitter @drClaire
More and more, I have families in my practice who are trying out treatments and therapies I didn’t prescribe. Most of the time, it’s absolutely fine. Other times, it’s not.
“Complementary and alternative medicine” is a broad term that refers to treatments that are not generally part of traditional Western medicine. It includes things like herbal remedies, dietary supplements or alternative diets, acupuncture, acupressure, homeopathy, Chinese remedies, Reiki, or hypnosis. It also includes things like yoga or meditation — and chiropractic medicine.
Many of these therapies have become increasingly mainstream. In fact, more than 1 in 10 US children, and more than half of US children with chronic medical conditions, have used them. As use of these therapies grow, often fueled by what people read on the Internet and social media, it’s important that people get informed and educated, especially if they are going to use them on their children. That’s why the American Academy of Pediatrics (AAP) published a report entitled “Pediatric Integrative Medicine” in the journal Pediatrics.
Here are three things all parents should know about complementary and alternative medicine:
1. Many of them are very useful. It’s not as if Western medicine has the corner on all medical knowledge. Some of these therapies, like acupuncture, have been around for literally thousands of years. The more we study these therapies, the more we learn about the ways they can be helpful. Acupuncture can be very helpful for chronic pain. Probiotics can help fight diarrhea, and docosahexaenoic acid (DHA) found in fish oil helps fetal brain development and may help children with attention problems. Yoga has been found to help youth with attention problems also, as well as those with asthma or irritable bowel syndrome. Our understanding of health and medicine is expanding, and many physicians routinely recommend many therapies that used to be dismissed. But there is a problem…
2. Most of them are poorly regulated. For a drug to be licensed for sale, it has to go through extensive testing. The same is not true of herbal, vitamin, or other “alternative” treatments. Because they are classified as “food” rather than medicine, they aren’t tested or regulated anywhere near as carefully, and they don’t have to prove their claims. If you buy an herbal remedy or a dietary supplement, you have absolutely no way of knowing everything that is in it (some have been found to include dangerous ingredients like lead or arsenic) and no way of knowing if it will do what the manufacturer says it will.
This is also true of practitioners. To be licensed as a doctor or nurse, you have to go to an accredited program, pass national examinations, and prove ongoing competency. That isn’t necessarily the case with many who practice alternative medicine. While there are some licensing boards and ways that practitioners can be accredited, there is currently no comprehensive way to ensure quality of care.
Western medicines also has a tradition of ongoing self-examination, of doing studies to be sure that treatments work and are safe, and an infrastructure to support that tradition. While there have been, and continue to be, many studies of complementary and alternative medicine, there is nowhere near the same tradition and infrastructure. This is something the AAP says needs to change. This is not to say that there aren’t excellent practitioners and excellent treatments. It’s just that it’s much harder to know if the person treating you or your child has the right training and skills and if the treatment is safe, let alone helpful for the condition. Which is why…
3. Parents need to do their homework—and talk to their child’s doctor—before using complementary or alternative medicine with their children. Before you try any treatment, learn about it. The National Center for Complementary and Integrative Health, part of the National Institutes of Health, is a great resource to learn about complementary and alternative medicine and specific treatments. It’s also really important to talk to your doctor. It’s important to be sure that what you are doing won’t interfere with any other treatment. For example, St. John’s Wort, an herb that is commonly used to treat depression, can interact or interfere with many commonly prescribed medications. It’s important to check with your doctor to be sure that what you are doing is safe for your child’s particular condition or situation.
Most of all, it’s important that your doctor know about your concerns for your child and why you want to use the treatments in the first place. If you are worried about your child’s growth or appetite, for example, let your doctor be sure there isn’t something more serious going on before you use dietary supplements. While doctors may not know everything about non-traditional treatments (the AAP report says doctors need more education about them), we care very much about your child’s health and want very much to work with you to find all the ways to get and keep your child healthy and happy.
The post 3 things parents should know about complementary and alternative medicine appeared first on Harvard Health Blog.
From: Claire McCarthy, MD https://www.health.harvard.edu/blog/3-things-parents-should-know-about-complementary-and-alternative-medicine-2017082912337
Moles Not Most Likely Spot for Melanomas
More than two-thirds of deadly skin cancers occur as new lesions, analysis finds
From: http://www.webmd.com/melanoma-skin-cancer/news/20170829/moles-not-most-likely-spot-for-melanomas?src=RSS_PUBLIC
What Every Runner Needs To Know: Coping With and Preventing Running Injuries
From: Mayo Clinic https://www.youtube.com/watch?v=MlPfV_ZYHvc
Mayo Clinic Minute: Tips for family heart health
From: Mayo Clinic https://www.youtube.com/watch?v=-gJGTBqJ5s8
When it comes to weight loss, consistency may be key
A "slow but steady" approach might be the best bet for achieving weight loss success, new research suggests
From: https://www.cbsnews.com/news/weight-loss-consistency-is-key-to-success-study/
From: https://www.cbsnews.com/news/weight-loss-consistency-is-key-to-success-study/
Drink Coffee, Live Longer?
Four cups a day could reduce risk by 64 percent, study suggests
From: http://www.webmd.com/diet/news/20170828/drink-coffee-live-longer?src=RSS_PUBLIC
Cybersecurity starts with training dental teams
In 2015, Dr. Lloyd Wallin's dental office was victimized twice in one month by hackers using ransomware — a type of malicious software that threatens to publish the victim's data or block access to it unless a ransom is paid.
From: David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/cybersecurity-starts-with-training-dental-teams
From: David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/cybersecurity-starts-with-training-dental-teams
Paper checks can continue but plan for an electronic future
The switch to electronic reimbursement by some third-party payers has prompted the ADA Practice Institute to study how easy dentists could make the change in their offices.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/paper-checks-can-continue-but-plan-for-an-electronic-future
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/august/paper-checks-can-continue-but-plan-for-an-electronic-future
Flooding disrupts care at Houston hospital, cancer center
Officials to evacuate one of the nation's busiest trauma centers as flooding from Harvey has threatened the hospital's supplies
From: https://www.cbsnews.com/news/flooding-disrupts-care-at-houston-hospital-cancer-center/
From: https://www.cbsnews.com/news/flooding-disrupts-care-at-houston-hospital-cancer-center/
New heart drug targets inflammation
Researchers say a new drug lowers the risk of having another heart attack by reducing inflammation. CBS News chief medical correspondent Dr. Jon LaPook reports.
From: https://www.cbsnews.com/videos/new-heart-drug-targets-inflammation/
From: https://www.cbsnews.com/videos/new-heart-drug-targets-inflammation/
Biggest health threats from Harvey flooding
As torrential rains and catastrophic flooding continue, a number of health hazards put Texas residents at risk
From: https://www.cbsnews.com/news/houston-flooding-biggest-health-threats-from-hurricane-harvey-flooding/
From: https://www.cbsnews.com/news/houston-flooding-biggest-health-threats-from-hurricane-harvey-flooding/
In a first, drug lowers heart attack risk with new approach
It works by curbing inflammation, a new and very different approach than lowering cholesterol, the focus for many years
From: https://www.cbsnews.com/news/in-a-first-anti-inflammatory-drug-lowers-heart-attack-risks/
From: https://www.cbsnews.com/news/in-a-first-anti-inflammatory-drug-lowers-heart-attack-risks/
What Every Runner Needs To Know: Coping With and Preventing Running Injuries
From: Mayo Clinic https://www.youtube.com/watch?v=MlPfV_ZYHvc
Mayo Clinic Minute: Tips for family heart health
From: Mayo Clinic https://www.youtube.com/watch?v=-gJGTBqJ5s8
Fish consumption and rheumatoid arthritis: Natural remedy or just another fish tale?
Follow me on Twitter @RobShmerling
When I see patients with rheumatoid arthritis, I’m often asked about diet. Are there foods that can help? Should I avoid certain foods?
The role of diet in arthritis
Whenever I’m asked about diet for arthritis, my short answer is that with a few exceptions, there is no proven role for making dietary changes. In the case of rheumatoid arthritis, there is no clear evidence that eating more (or less) of any particular food will improve (or worsen) their symptoms or protect their joints. Of course, new research could change my answer.
And what about the exceptions? The most important is probably gout. Certain foods and beverages (such as organ meats and alcohol) can predispose to the condition or make it worse. Most people with gout are told to modify their diets, although for most the impact is small.
What about the microbiome?
There is enormous interest now in the role of the microbiome — the vast numbers of microorganisms living within us — in health and disease. And we know that diet affects the microbiome within the intestinal tract. It could turn out that what you eat may cause certain populations of bacteria in the intestinal tract to rise or fall. Since these bacteria may affect immune function, and since rheumatoid arthritis is an autoimmune condition, it’s possible that changes in the microbiome will affect the activity and severity of rheumatoid arthritis. Researchers are working hard to understand how the microbiome might affect autoimmune diseases, and how this new perspective could lead to better control of conditions such as rheumatoid arthritis.
Fish, fish oil, and rheumatoid arthritis
A number of studies have found that fish oil supplements or a diet rich in fish oils may be helpful in controlling the inflammation of rheumatoid arthritis. In addition, it’s possible higher intake of fish oil actually reduces the likelihood of developing the disease. Some studies have found that rheumatoid arthritis is less common in places where fish consumption is highest. However, fish oil is not routinely recommended, because its effect is modest and medications tend to be much more effective.
A new study resurrects the idea that fish oil (or at least fish consumption) might suppress the joint inflammation of rheumatoid arthritis. Researchers publishing in the medical journal Arthritis Care & Research report that the more fish a person consumes, the better the control of their arthritis. In this study, researchers analyzed data from 176 people with rheumatoid arthritis, comparing their reported intake of non-fried fish with the results of their joint examinations and blood tests. Here’s what they found:
- Those with the highest fish consumption (more than two servings per week) had the best control of their arthritis.
- There was a “dose effect.” For minimal, low, or high fish consumption, the higher the intake, the better the arthritis.
- The findings were noted even after accounting for other factors that might affect arthritis control, such as duration of disease and fish oil supplement use.
The fine print
This was a small study that found an association between fish consumption and control of rheumatoid arthritis. That’s not the same as finding that fish intake actually caused the improvement in arthritis. This is an important point because factors other than diet could explain the findings. For instance, it’s possible that people who eat fish regularly are generally more attuned to their health and take their medications more reliably than people who eat fish less often. That’s why the authors of this study do not conclude that everyone with rheumatoid arthritis should start eating more fish. What they do say is that additional research is needed.
One other point: the improvement in arthritis control noted among those who ate the most fish was modest, and so small that most patients probably wouldn’t notice. Still, small improvements can add up, so even a small effect from a natural remedy that poses minimal risk is worth consideration.
What now?
I’m hopeful that in the near future we’ll have more definitive, larger, and long-term studies that examine the role of diet on rheumatoid arthritis and other types of joint disease. Until then, I think people with rheumatoid arthritis should consider increasing their intake of non-fried fish. It might be good for the joints. And eating fish may have other health benefits as well, especially if it replaces less healthy choices.
The post Fish consumption and rheumatoid arthritis: Natural remedy or just another fish tale? appeared first on Harvard Health Blog.
From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/fish-consumption-and-rheumatoid-arthritis-natural-remedy-or-just-another-fish-tale-2017082812299
Applications due Dec. 1 for University of Chicago dentistry-focused social science Ph.D. program
Dentists and dental students interested in becoming clinician-scholars and earning a Ph.D. from a social science program can apply through Dec. 1 to enroll at the University of Chicago.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/applications-due-dec-1-for-university-of-chicago-dentistry-focused-social-science-phd-program
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/applications-due-dec-1-for-university-of-chicago-dentistry-focused-social-science-phd-program
Morning Rounds: Could certain vitamins put you at a higher risk for lung cancer?
Dr. Jon LaPook and Dr. Tara Narula join "CBS This Morning: Saturday" to discuss a new study about certain vitamins that could increase the risk of lung cancer in men who smoke, new research suggesting there could be a link between sleep and dementia, and how events like the solar eclipse could be impacting empathy.
From: https://www.cbsnews.com/videos/morning-rounds-could-certain-vitamins-put-you-at-a-higher-risk-for-lung-cancer/
From: https://www.cbsnews.com/videos/morning-rounds-could-certain-vitamins-put-you-at-a-higher-risk-for-lung-cancer/
MMA for kids more popular than ever, despite risks
Inspired by big-name stars, more children take up mixed martial arts, but pediatricians warn about the dangers
From: https://www.cbsnews.com/news/mma-for-kids-conor-mcgregor-floyd-mayweather-ronda-rousey/
From: https://www.cbsnews.com/news/mma-for-kids-conor-mcgregor-floyd-mayweather-ronda-rousey/
Health officials mark milestone in measles outbreak
Measles outbreak was state's largest in decades, with one community especially hard hit
From: https://www.cbsnews.com/news/measles-outbreak-ends-minnesota-announcement-ed-ehlinger/
From: https://www.cbsnews.com/news/measles-outbreak-ends-minnesota-announcement-ed-ehlinger/
More kids take up MMA despite risks
More children than ever are taking part in mixed martial arts, or MMA, but pediatricians have some warnings about the risk. CBS News' Danielle Nottingham reports.
From: https://www.cbsnews.com/videos/more-kids-take-up-mma-despite-risks/
From: https://www.cbsnews.com/videos/more-kids-take-up-mma-despite-risks/
Mayo Clinic Minute: The heirloom advantage
From: Mayo Clinic https://www.youtube.com/watch?v=65e7BlE0BZ4
#AsktheMayoMom about Children's Eye Health
From: Mayo Clinic https://www.youtube.com/watch?v=n2I1qi2duOA
How addiction changes the brain
President Trump has called the opioid epidemic a national emergency, and 21 million Americans are addicted to drugs and alcohol
From: https://www.cbsnews.com/news/science-of-addiction-national-geographic-fran-smith/
From: https://www.cbsnews.com/news/science-of-addiction-national-geographic-fran-smith/
Aetna responds after patients' HIV status revealed in envelope window
The company is reviewing processes to ensure it never happens again, saying "this type of mistake is unacceptable"
From: https://www.cbsnews.com/news/lawyers-aetna-envelope-window-reveals-patients-hiv-status/
From: https://www.cbsnews.com/news/lawyers-aetna-envelope-window-reveals-patients-hiv-status/
Do Common Vitamins Raise Lung Cancer Risk?
Increased odds only seemed to affect men or male smokers, study suggests
From: http://www.webmd.com/lung-cancer/news/20170822/do-common-vitamins-raise-lung-cancer-risk?src=RSS_PUBLIC
More Evidence Contact Sports Can Affect the Brain
Some changes in structure, chemistry seen in college athletes who take hits during play
From: http://www.webmd.com/brain/news/20170822/more-evidence-contact-sports-can-affect-the-brain?src=RSS_PUBLIC
Study: New Cholesterol Drugs Vastly Overpriced
But drug maker, heart experts question methodology of analysis
From: http://www.webmd.com/cholesterol-management/news/20170822/study-new-cholesterol-drugs-vastly-overpriced?src=RSS_PUBLIC
Monday, August 28, 2017
Flooding disrupts care at Houston hospital, cancer center
Officials to evacuate one of the nation's busiest trauma centers as flooding from Harvey has threatened the hospital's supplies
From: https://www.cbsnews.com/news/flooding-disrupts-care-at-houston-hospital-cancer-center/
From: https://www.cbsnews.com/news/flooding-disrupts-care-at-houston-hospital-cancer-center/
New heart drug targets inflammation
Researchers say a new drug lowers the risk of having another heart attack by reducing inflammation. CBS News chief medical correspondent Dr. Jon LaPook reports.
From: https://www.cbsnews.com/videos/new-heart-drug-targets-inflammation/
From: https://www.cbsnews.com/videos/new-heart-drug-targets-inflammation/
Hurricane Harvey Threats: What To Know & Do
There are plenty of dangers in a storm's floodwaters, and things to worry about once the water recedes.
From: http://www.webmd.com/a-to-z-guides/news/20170828/hurricane-harvey-threats-what-to-know-do?src=RSS_PUBLIC
What Every Runner Needs To Know: Coping With and Preventing Running Injuries
From: Mayo Clinic https://www.youtube.com/watch?v=MlPfV_ZYHvc
Sex in Menopause: Estrogen Patch Could Help Women
Study suggests that, given this way, short-term use of the hormone may help those who report symptoms
From: http://www.webmd.com/sex/news/20170828/sex-in-menopause-estrogen-patch-could-help-women?src=RSS_PUBLIC
High Salt Intake May Double Heart Failure Risk
Study offers another reason to watch your intake
From: http://www.webmd.com/heart-disease/heart-failure/news/20170828/high-salt-intake-may-double-heart-failure-risk?src=RSS_PUBLIC
Does Race Matter in Care 'Preemie' Babies Receive?
It may not be intentional, but there's room for improvement, study shows
From: http://www.webmd.com/parenting/baby/news/20170828/does-race-matter-in-care-preemie-babies-receive?src=RSS_PUBLIC
Women at Risk for Alzheimer's Face Critical Window
If your genes predispose you to the illness, 65 to 75 may be high-risk years
From: http://www.webmd.com/alzheimers/news/20170828/women-at-risk-for-alzheimers-face-critical-window?src=RSS_PUBLIC
Biggest health threats from Harvey flooding
As torrential rains and catastrophic flooding continue, a number of health hazards put Texas residents at risk
From: https://www.cbsnews.com/news/houston-flooding-biggest-health-threats-from-hurricane-harvey-flooding/
From: https://www.cbsnews.com/news/houston-flooding-biggest-health-threats-from-hurricane-harvey-flooding/
Mayo Clinic Minute: Tips for family heart health
From: Mayo Clinic https://www.youtube.com/watch?v=-gJGTBqJ5s8
Drug May Fight Heart Disease in Whole New Way
Study of injected medication suggests reductions in inflammation could be treatment target
From: http://www.webmd.com/heart-disease/news/20170828/drug-may-fight-heart-disease-in-whole-new-way?src=RSS_PUBLIC
Pediatricians: Give Hepatitis B Vaccine Sooner
Shot should come within 24 hours of delivery, and not at first checkup
From: http://www.webmd.com/parenting/baby/news/20170828/pediatricians-give-hepatitis-b-vaccine-sooner?src=RSS_PUBLIC
Slow and Steady Wins the Weight-Loss Race
Study found fluctuations in pounds shed over a year of dieting predicted poorer results
From: http://www.webmd.com/diet/obesity/news/20170828/slow-and-steady-wins-the-weight-loss-race?src=RSS_PUBLIC
Health Highlights: Aug. 28, 2017
FDA: Serious Problems at Florida Stem Cell Clinic
From: http://www.webmd.com/a-to-z-guides/news/20170828/fda-serious-problems-at-florida-stem-cell-clinic?src=RSS_PUBLIC
Serious Reactions to Vaccines Rarely Recur: Review
Findings add to evidence of safety of childhood immunizations, pediatricians say
From: http://www.webmd.com/children/vaccines/news/20170828/serious-reactions-to-vaccines-rarely-recur-review?src=RSS_PUBLIC
Applications due Dec. 1 for University of Chicago dentistry-focused social science Ph.D. program
Dentists and dental students interested in becoming clinician-scholars and earning a Ph.D. from a social science program can apply through Dec. 1 to enroll at the University of Chicago.
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/applications-due-dec-1-for-university-of-chicago-dentistry-focused-social-science-phd-program
From: http://www.ada.org/en/publications/ada-news/2017-archive/august/applications-due-dec-1-for-university-of-chicago-dentistry-focused-social-science-phd-program
Undiagnosed Heart Condition 'AFib' May Be Common
Continuous long-term monitoring led to diagnosis in 1 out of 3 high-risk adults
From: http://www.webmd.com/heart-disease/atrial-fibrillation/news/20170826/undiagnosed-heart-condition-afib-may-be-common?src=RSS_PUBLIC
In a first, drug lowers heart attack risk with new approach
It works by curbing inflammation, a new and very different approach than lowering cholesterol, the focus for many years
From: https://www.cbsnews.com/news/in-a-first-anti-inflammatory-drug-lowers-heart-attack-risks/
From: https://www.cbsnews.com/news/in-a-first-anti-inflammatory-drug-lowers-heart-attack-risks/
Fish consumption and rheumatoid arthritis: Natural remedy or just another fish tale?
Follow me on Twitter @RobShmerling
When I see patients with rheumatoid arthritis, I’m often asked about diet. Are there foods that can help? Should I avoid certain foods?
The role of diet in arthritis
Whenever I’m asked about diet for arthritis, my short answer is that with a few exceptions, there is no proven role for making dietary changes. In the case of rheumatoid arthritis, there is no clear evidence that eating more (or less) of any particular food will improve (or worsen) their symptoms or protect their joints. Of course, new research could change my answer.
And what about the exceptions? The most important is probably gout. Certain foods and beverages (such as organ meats and alcohol) can predispose to the condition or make it worse. Most people with gout are told to modify their diets, although for most the impact is small.
What about the microbiome?
There is enormous interest now in the role of the microbiome — the vast numbers of microorganisms living within us — in health and disease. And we know that diet affects the microbiome within the intestinal tract. It could turn out that what you eat may cause certain populations of bacteria in the intestinal tract to rise or fall. Since these bacteria may affect immune function, and since rheumatoid arthritis is an autoimmune condition, it’s possible that changes in the microbiome will affect the activity and severity of rheumatoid arthritis. Researchers are working hard to understand how the microbiome might affect autoimmune diseases, and how this new perspective could lead to better control of conditions such as rheumatoid arthritis.
Fish, fish oil, and rheumatoid arthritis
A number of studies have found that fish oil supplements or a diet rich in fish oils may be helpful in controlling the inflammation of rheumatoid arthritis. In addition, it’s possible higher intake of fish oil actually reduces the likelihood of developing the disease. Some studies have found that rheumatoid arthritis is less common in places where fish consumption is highest. However, fish oil is not routinely recommended, because its effect is modest and medications tend to be much more effective.
A new study resurrects the idea that fish oil (or at least fish consumption) might suppress the joint inflammation of rheumatoid arthritis. Researchers publishing in the medical journal Arthritis Care & Research report that the more fish a person consumes, the better the control of their arthritis. In this study, researchers analyzed data from 176 people with rheumatoid arthritis, comparing their reported intake of non-fried fish with the results of their joint examinations and blood tests. Here’s what they found:
- Those with the highest fish consumption (more than two servings per week) had the best control of their arthritis.
- There was a “dose effect.” For minimal, low, or high fish consumption, the higher the intake, the better the arthritis.
- The findings were noted even after accounting for other factors that might affect arthritis control, such as duration of disease and fish oil supplement use.
The fine print
This was a small study that found an association between fish consumption and control of rheumatoid arthritis. That’s not the same as finding that fish intake actually caused the improvement in arthritis. This is an important point because factors other than diet could explain the findings. For instance, it’s possible that people who eat fish regularly are generally more attuned to their health and take their medications more reliably than people who eat fish less often. That’s why the authors of this study do not conclude that everyone with rheumatoid arthritis should start eating more fish. What they do say is that additional research is needed.
One other point: the improvement in arthritis control noted among those who ate the most fish was modest, and so small that most patients probably wouldn’t notice. Still, small improvements can add up, so even a small effect from a natural remedy that poses minimal risk is worth consideration.
What now?
I’m hopeful that in the near future we’ll have more definitive, larger, and long-term studies that examine the role of diet on rheumatoid arthritis and other types of joint disease. Until then, I think people with rheumatoid arthritis should consider increasing their intake of non-fried fish. It might be good for the joints. And eating fish may have other health benefits as well, especially if it replaces less healthy choices.
The post Fish consumption and rheumatoid arthritis: Natural remedy or just another fish tale? appeared first on Harvard Health Blog.
From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/fish-consumption-and-rheumatoid-arthritis-natural-remedy-or-just-another-fish-tale-2017082812299
Morning Rounds: Could certain vitamins put you at a higher risk for lung cancer?
Dr. Jon LaPook and Dr. Tara Narula join "CBS This Morning: Saturday" to discuss a new study about certain vitamins that could increase the risk of lung cancer in men who smoke, new research suggesting there could be a link between sleep and dementia, and how events like the solar eclipse could be impacting empathy.
From: https://www.cbsnews.com/videos/morning-rounds-could-certain-vitamins-put-you-at-a-higher-risk-for-lung-cancer/
From: https://www.cbsnews.com/videos/morning-rounds-could-certain-vitamins-put-you-at-a-higher-risk-for-lung-cancer/
MMA for kids more popular than ever, despite risks
Inspired by big-name stars, more children take up mixed martial arts, but pediatricians warn about the dangers
From: https://www.cbsnews.com/news/mma-for-kids-conor-mcgregor-floyd-mayweather-ronda-rousey/
From: https://www.cbsnews.com/news/mma-for-kids-conor-mcgregor-floyd-mayweather-ronda-rousey/
Health officials mark milestone in measles outbreak
Measles outbreak was state's largest in decades, with one community especially hard hit
From: https://www.cbsnews.com/news/measles-outbreak-ends-minnesota-announcement-ed-ehlinger/
From: https://www.cbsnews.com/news/measles-outbreak-ends-minnesota-announcement-ed-ehlinger/
More kids take up MMA despite risks
More children than ever are taking part in mixed martial arts, or MMA, but pediatricians have some warnings about the risk. CBS News' Danielle Nottingham reports.
From: https://www.cbsnews.com/videos/more-kids-take-up-mma-despite-risks/
From: https://www.cbsnews.com/videos/more-kids-take-up-mma-despite-risks/
Mayo Clinic Minute: The heirloom advantage
From: Mayo Clinic https://www.youtube.com/watch?v=65e7BlE0BZ4
#AsktheMayoMom about Children's Eye Health
From: Mayo Clinic https://www.youtube.com/watch?v=n2I1qi2duOA
How addiction changes the brain
President Trump has called the opioid epidemic a national emergency, and 21 million Americans are addicted to drugs and alcohol
From: https://www.cbsnews.com/news/science-of-addiction-national-geographic-fran-smith/
From: https://www.cbsnews.com/news/science-of-addiction-national-geographic-fran-smith/
Aetna responds after patients' HIV status revealed in envelope window
The company is reviewing processes to ensure it never happens again, saying "this type of mistake is unacceptable"
From: https://www.cbsnews.com/news/lawyers-aetna-envelope-window-reveals-patients-hiv-status/
From: https://www.cbsnews.com/news/lawyers-aetna-envelope-window-reveals-patients-hiv-status/
Can you retrain an addicted brain?
President Trump has called the opioid epidemic a national emergency, and 21 million Americans are addicted to drugs and alcohol. Fran Smith, who wrote the cover story of September's National Geographic article, "How science is unlocking the secrets of addiction," joins "CBS This Morning" to discuss addiction's impact on the brain's pathways.
From: https://www.cbsnews.com/videos/can-you-retrain-an-addicted-brain/
From: https://www.cbsnews.com/videos/can-you-retrain-an-addicted-brain/
Article spotlights dental role in childhood obesity prevention
The dentist's role in childhood obesity prevention is examined in a publication the ADA helped develop that is available online.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/article-spotlights-dental-role-in-childhood-obesity-prevention
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/article-spotlights-dental-role-in-childhood-obesity-prevention
Reading and writing and dental care
There was pizza and popcorn, puzzles and games, movies, balloon hats and — the main event — dental care at a back-to-school event the Louisiana State University Health New Orleans After-Hours Pediatric Dental Clinic hosted Aug. 14.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/reading-and-writing-and-dental-care
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/reading-and-writing-and-dental-care
Tips to stay safe as Hurricane Harvey approaches
What to put in your "go-bag," and other advice for anyone facing a weather emergency
From: https://www.cbsnews.com/news/hurricane-harvey-texas-safety-tips/
From: https://www.cbsnews.com/news/hurricane-harvey-texas-safety-tips/
What to look for in 2018 Medicare Advantage plans
Limited networks and areas with no coverage make choosing the right health plan even more challenging than usual
From: https://www.cbsnews.com/news/medicare-advantage-plans-2018-finding-health-insurance/
From: https://www.cbsnews.com/news/medicare-advantage-plans-2018-finding-health-insurance/
High school friendships might predict future well-being
New research affirms being popular in high school isn't everything
From: https://www.cbsnews.com/news/high-school-friendships-might-predict-mental-well-being-later-in-life/
From: https://www.cbsnews.com/news/high-school-friendships-might-predict-mental-well-being-later-in-life/
Opioid epidemic takes toll in Maine lobster industry
The nation's opioid crisis has hit hard in Maine, where at least one person died every day last year of drug overdoses. Economic leaders say the impact of the opioid epidemic on the lobster industry could affect an entire generation. CBS News' Kenneth Craig reports.
From: https://www.cbsnews.com/videos/opioid-epidemic-takes-toll-in-maine-lobster-industry/
From: https://www.cbsnews.com/videos/opioid-epidemic-takes-toll-in-maine-lobster-industry/
Mayo Clinic Minute: Stroke and heat concerns
From: Mayo Clinic https://www.youtube.com/watch?v=awuDT5qIoHg
Are Chocolate Cravings a Product of the Culture?
These premenstrual urges seem far more common among U.S. women than others, study suggests
From: http://www.webmd.com/food-recipes/news/20170825/are-chocolate-cravings-a-product-of-the-culture?src=RSS_PUBLIC
Early Prostate Cancer Treatment Carries Heart Risk
Hormone-suppressing regimen may raise odds for heart failure, but it brings benefits, too, researchers say
From: http://www.webmd.com/prostate-cancer/news/20170825/early-prostate-cancer-treatment-carries-heart-risk?src=RSS_PUBLIC
Same-Sex Parents Won't Sway Kids' Gender Identity
Research showed no differences from children raised by heterosexual couples
From: http://www.webmd.com/children/news/20170821/same-sex-parents-wont-sway-kids-gender-identity?src=RSS_PUBLIC
Most Parents Would Support Teen Switching Gender
Findings indicate growing acceptance of gender transition
From: http://www.webmd.com/children/news/20170821/most-parents-would-support-teen-switching-gender?src=RSS_PUBLIC
Sitting Could Be Big Health Risk for Frail Folks
Being sedentary not linked to early death in people who are generally healthy, study finds
From: http://www.webmd.com/healthy-aging/news/20170821/sitting-could-be-big-health-risk-for-frail-folks?src=RSS_PUBLIC
Comic and Telethon Host Jerry Lewis Dies At 91
The legendary actor and comedian helped raise more than $2 billion for muscular dystrophy.
From: http://www.webmd.com/a-to-z-guides/news/20170821/comic-and-telethon-host-jerry-lewis-dies-at-91?src=RSS_PUBLIC
Right brain/left brain, right?
Follow me on Twitter @RobShmerling
If you’re like me, you learned that about 90% of people are right-handed and much of the reason is genetic. And that’s true, although it remains a mystery why our genetic evolution led to so many more righties than lefties).
But for certain tasks, handedness can be “overcome.” For example, right-handed kids learning to play tennis, golf, or baseball can become successful hitting from “the other side.” It may be more a matter of how they are taught and what gets reinforced than about a hard-wired preference for one hand or the other.
According to new research, the idea of people being “left-brained” or “right-brained” may also be less fixed than we’d thought.
Recognize yourself?
According to conventional wisdom, people tend to have a personality, thinking style, or way of doing things that is either right-brained or left-brained.
Those who are right-brained are supposed to be intuitive and creative free thinkers. They are “qualitative,” big-picture thinkers who experience the world in terms that are descriptive or subjective. For example, “The skies are gray and menacing; I wonder if it’s going to rain?”
Meanwhile, left-brained people tend to be more quantitative and analytical. They pay attention to details and are ruled by logic. Their view of the weather is more likely, “The forecast said there was only a 30% chance of rain but those cumulonimbus clouds will probably bring thunder as well as rain.”
A popular book first published in 1979, Drawing on the Right Side of the Brain, extends this concept. It suggests that regardless of how your brain is wired, getting in touch with your “right brain” will help you see — and draw — things differently.
These notions of “left and right brain-ness” are widespread and widely accepted. But they may also be wrong.
Location matters
There is truth to the idea that some brain functions reside more on one side of the brain than the other. We know this in part from what is lost when a stroke affects a particular part of the brain. For example, it has long been thought that, in most people, control of language resides in the left side of the brain. And there are areas of the right half the brain that control movement of the left arm and leg (and vice versa). Damage to the front part of the brain is linked with reduced motivation, difficulty planning, and impaired creativity. Meanwhile, the back of the brain (the occipital cortex) integrates visual information from the eye. Damage to this area can cause partial or complete blindness. These are just a few examples of how certain parts of the brain appear responsible for specific functions. So, location does matter.
But for more individual personality traits, such as creativity or a tendency toward the rational rather than the intuitive, there has been little or no evidence supporting a residence in one area of the brain. In fact, if you performed a CT scan, MRI scan, or even an autopsy on the brain of a mathematician and compared it to the brain of an artist, it’s unlikely you’d find much difference. And if you did the same for 1,000 mathematicians and artists, it’s unlikely that any clear pattern of difference in brain structure would emerge.
The right-brain/left brain myth?
So, is the idea of “thinking with the left side of your brain” a myth? Maybe. But, the lack of proof does not prove the opposite. For people living thousands of years ago, an inability to prove the earth was round did not prove the earth was flat!
But, the evidence discounting the left/right brain concept is accumulating. According to a 2013 study from the University of Utah, brain scans demonstrate that activity is similar on both sides of the brain regardless of one’s personality.
They looked at the brain scans of more than 1,000 young people between the ages of 7 and 29 and divided different areas of the brain into 7,000 regions to determine whether one side of the brain was more active or connected than the other side. No evidence of “sidedness” was found. The authors concluded that the notion of some people being more left-brained or right-brained is more a figure of speech than an anatomically accurate description.
The bottom line
If you’ve always thought of yourself as a “numbers person” or a creative sort, this research doesn’t change anything. But it’s probably inaccurate to link these traits to one side of your brain. We still don’t know a lot about what determines individual personality; but it seems unlikely that it’s the dominance of one side of the brain or the other that matters.
The post Right brain/left brain, right? appeared first on Harvard Health Blog.
From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/right-brainleft-brain-right-2017082512222
Article spotlights dental role in childhood obesity prevention
The dentist's role in childhood obesity prevention is examined in a publication the ADA helped develop that is available online.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/article-spotlights-dental-role-in-childhood-obesity-prevention
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/article-spotlights-dental-role-in-childhood-obesity-prevention
Reading and writing and dental care
There was pizza and popcorn, puzzles and games, movies, balloon hats and — the main event — dental care at a back-to-school event the Louisiana State University Health New Orleans After-Hours Pediatric Dental Clinic hosted Aug. 14.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/reading-and-writing-and-dental-care
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/august/reading-and-writing-and-dental-care
Tips to stay safe as Hurricane Harvey approaches
What to put in your "go-bag," and other advice for anyone facing a weather emergency
From: https://www.cbsnews.com/news/hurricane-harvey-texas-safety-tips/
From: https://www.cbsnews.com/news/hurricane-harvey-texas-safety-tips/
What to look for in 2018 Medicare Advantage plans
Limited networks and areas with no coverage make choosing the right health plan even more challenging than usual
From: https://www.cbsnews.com/news/medicare-advantage-plans-2018-finding-health-insurance/
From: https://www.cbsnews.com/news/medicare-advantage-plans-2018-finding-health-insurance/
High school friendships might predict future well-being
New research affirms being popular in high school isn't everything
From: https://www.cbsnews.com/news/high-school-friendships-might-predict-mental-well-being-later-in-life/
From: https://www.cbsnews.com/news/high-school-friendships-might-predict-mental-well-being-later-in-life/
Opioid epidemic takes toll in Maine lobster industry
The nation's opioid crisis has hit hard in Maine, where at least one person died every day last year of drug overdoses. Economic leaders say the impact of the opioid epidemic on the lobster industry could affect an entire generation. CBS News' Kenneth Craig reports.
From: https://www.cbsnews.com/videos/opioid-epidemic-takes-toll-in-maine-lobster-industry/
From: https://www.cbsnews.com/videos/opioid-epidemic-takes-toll-in-maine-lobster-industry/
Mayo Clinic Minute: Stroke and heat concerns
From: Mayo Clinic https://www.youtube.com/watch?v=awuDT5qIoHg
Some treatment centers accused of keeping addicts hooked
"The incentive is to keep them in this relapse system, this gravy train that doesn't end until the person leaves in a body bag or an ambulance. There's no money in sobriety"
From: https://www.cbsnews.com/news/some-treatment-centers-keep-addicts-hooked-for-insurance-dollars/
From: https://www.cbsnews.com/news/some-treatment-centers-keep-addicts-hooked-for-insurance-dollars/
Report: This region's health lags way behind rest of U.S.
The 25 million people who live here have struggled to keep up with the health gains of other Americans
From: https://www.cbsnews.com/news/appalachia-health-continues-to-lag-behind-rest-of-the-us/
From: https://www.cbsnews.com/news/appalachia-health-continues-to-lag-behind-rest-of-the-us/
Study reveals link between quality of sleep and risk of dementia
In the study, as the amount of REM sleep declined, the risk of dementia increased
From: https://www.cbsnews.com/news/rem-sleep-dementia-study-health/
From: https://www.cbsnews.com/news/rem-sleep-dementia-study-health/
When a drug does serious harm, the FDA wants to hear from you
I frequently lecture to physicians, pharmacists, and other healthcare professionals on drug safety, and I often start by asking how many people have ever observed a serious adverse drug event. Almost everyone in the room raises his or her hand. I then ask how many have ever reported a serious adverse drug event to the US Food and Drug Administration (FDA) or to a drug company, and almost all of the hands go down. Often, healthcare providers do not know the important role that they can play in drug safety surveillance. Even less well known is that consumers can also contribute directly to enhancing drug safety surveillance by reporting adverse drug events that they personally have experienced.
What is a serious adverse event?
The FDA describes an adverse event as “any undesirable experience associated with the use of a medical product” (this includes medical devices as well as drugs). A serious adverse event is one that is life-threatening, requires hospitalization, results in permanent damage or disability (including birth defects), or that jeopardizes the health or life of the person using it in some other way.
The FDA’s role in drug safety
The FDA is responsible for regulating many of the products we use every day, from foods and cosmetics to dietary supplements and medical devices. It is also in charge of assuring the safety and effectiveness of medicines. This includes approving prescription drugs that have been proven to work after a series of rigorous studies, as well as monitoring whether these drugs cause unforeseen problems once they are approved and used by large numbers of individuals.
One of the main tools that the FDA uses to monitor for adverse events after a drug is approved is called MedWatch: The FDA Safety Information and Adverse Event Reporting Program. Anyone, including physicians, pharmacists, nurses, and patients themselves, can go to the MedWatch website and report a suspected problem with a drug. The FDA uses a separate reporting system for adverse events related to vaccines, called the Vaccine Adverse Event Reporting System, or VAERS. These websites ask a series of questions related to the problem (e.g., what kind of problem it was, the date that it occurred, test results) and the product(s) thought to have caused the problem. Some questions require responses in order to provide the FDA some minimally necessary information, but others do not. Individuals are encouraged to provide as much specific information as they can. Individuals can also report an adverse drug event to the company that makes the drug. Drug companies are then required to send all reports of serious adverse drug events to the FDA.
What happens after you report an adverse event to the FDA?
The FDA collects and evaluates all of this information to determine whether further evaluation of particular drug products is needed. Each year, the FDA receives more than a million reports of suspected adverse drug events, but it is believed that this represents only a fraction of all of the adverse events that occur; after all, Americans fill more than 300 million prescriptions each year. Only a small portion of the reports that the FDA receives comes directly from patients.
As patients, we have the most information about adverse drug events that we experience, and are often in the best position to describe the problem and the circumstances surrounding it. The FDA’s MedWatch system allows us not only to notify the FDA about problems, but it provides the FDA critical information needed to make decisions and issue communications that can help others. For example, in 2001 the cholesterol drug cerivastatin (Baycol) was removed from the market because of reports linking it to a rare condition called rhabdomyolysis, which causes injury to and breakdown of muscles and can lead to kidney failure.
In order for this system to work, the FDA needs to hear from you or your healthcare provider, either directly or through reports submitted to drug companies.
The post When a drug does serious harm, the FDA wants to hear from you appeared first on Harvard Health Blog.
From: Joshua Gagne, PharmD, ScD https://www.health.harvard.edu/blog/drug-serious-harm-fda-wants-hear-2017082412310
Same-Sex Parents Won't Sway Kids' Gender Identity
Research showed no differences from children raised by heterosexual couples
From: http://www.webmd.com/children/news/20170821/same-sex-parents-wont-sway-kids-gender-identity?src=RSS_PUBLIC
Most Parents Would Support Teen Switching Gender
Findings indicate growing acceptance of gender transition
From: http://www.webmd.com/children/news/20170821/most-parents-would-support-teen-switching-gender?src=RSS_PUBLIC
Sitting Could Be Big Health Risk for Frail Folks
Being sedentary not linked to early death in people who are generally healthy, study finds
From: http://www.webmd.com/healthy-aging/news/20170821/sitting-could-be-big-health-risk-for-frail-folks?src=RSS_PUBLIC
Comic and Telethon Host Jerry Lewis Dies At 91
The legendary actor and comedian helped raise more than $2 billion for muscular dystrophy.
From: http://www.webmd.com/a-to-z-guides/news/20170821/comic-and-telethon-host-jerry-lewis-dies-at-91?src=RSS_PUBLIC
Study: Annual mammograms could save 1000s of lives
Study based on computer analysis has limitations; false positives a concern
From: http://www.webmd.com/breast-cancer/news/20170821/study-annual-mammograms-could-save-1000s-of-lives?src=RSS_PUBLIC
Too Many Babies Still Placed on Stomach to Sleep
Pediatric experts recommend infants always sleep on their backs to avoid SIDS
From: http://www.webmd.com/parenting/baby/news/20170821/too-many-babies-still-placed-on-stomach-to-sleep?src=RSS_PUBLIC
Some Newborns Don't Get Heart, Hearing Loss Tests
Such screens are critical to early intervention efforts, CDC officials say
From: http://www.webmd.com/parenting/baby/news/20170825/some-newborns-dont-get-heart-hearing-loss-tests?src=RSS_PUBLIC
Many Migraine Patients Given Unnecessary Opioids
Addictive painkillers should be treatment of last resort, headache expert says
From: http://www.webmd.com/migraines-headaches/news/20170825/many-migraine-patients-given-unnecessary-opioids?src=RSS_PUBLIC
Awake for Aneurysm Brain Surgery, Better Results?
In new approach to the dangerous lesions, surgeons can get patient feedback during the procedure
From: http://www.webmd.com/brain/news/20170824/awake-for-aneurysm-brain-surgery-better-results?src=RSS_PUBLIC
Pot Won't Harm Healthy Young Kidneys, Study Finds
Researchers recommend more study on older users
From: http://www.webmd.com/mental-health/addiction/news/20170824/pot-wont-harm-healthy-young-kidneys-study-finds?src=RSS_PUBLIC
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